Hi guys, guess i should start with some history.
23 year old male with Asthma since childhood. Smoker for 3 years as follows.
6 months (80-100 per day)
6 months (40-60 per day)
24 months (20-30 per day)
Around 6 months ago i started to notice cardiac problems. Chest pain, breathlessness and i would get episodes where my heart rate would go silly high. After ending up in A&E multiple times i eventually got diagnosed with a right bundle branch block. Some doctors would tell me i had a heart murmur as well, others would tell me i didn't. The doctors put this down to past drug use although i haven't used drugs in 3 years and my echo was clear. The cardiac issues seemed to last a few months then they stopped. I've not had any symptoms related to my heart for months now.
Then about 2 months ago. It started as i would smoke a cigarette and minutes later i would feel like my lungs completely shut down for a few seconds and i would get difficulty breathing. Eventually it got down to me smoking just 1-2 cigarettes each day but the breathing was getting worse with each cigarette. I was having to use huge amounts of my ventolin after each cigarette. The strange thing was my chest always sounded clear and i had no wheezing.
Quit smoking 2 months ago approximately and I'm still on patches now. In that mind frame currently of why the hell did i smoke! Any way after quitting smoking the inability to breathe episodes seem to have settled down and i only get them occasionally. But the breathlessness and tightness in my throat and chest has not subsided.
Nurse has switched my asthma inhalers multiple times to try and help but nothing seems to work for the tightness. I'm now on fostair 200/6 4 times per day and its greatly helped my breathing but something just feels not right, like a labored, tight breathing sensation all day, everyday.
Occasional clear mucus coughed up but thats only a couple of times a week maximum. The rest of the time its just a dry cough. Had a Pulmonary Function Test a couple of weeks ago and it showed that i had moderate airway constriction. Although i admit i didn't use my inhalers for 24 hours before the PFT as i got the instructions wrong.
Nurse has now said she believes its either asthma or COPD and she believes COPD is a real possibility. Apparently i have to wait a month before having a repeat PFT. A month!
Apparently my chest always sounds clear, no wheezing, oxygen sats are never below 95-97%
Can you all offer some opinions on this please? Do you really think its possible to get COPD from just 3 years of smoking?
On the PFT i found it impossible to breathe out as forcefully as possibly for 5 seconds. I could only manage 2 seconds or so. Chest x ray is clear.
I'm also having a few other problems. Mainly with swallowing food at random intervals in the day. Sometimes I'm fine then the next minute it feels like food wont go down my throat. I also seem to have an issue with water constantly going down the wrong hole when drinking leaving me in a fit of coughing.